• 근관절건강학회지
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• 제19권3호
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• pp.308-318
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• 2012

Purpose: Diabetes Self Management Behavior (DSMB) is crucial for the elderly with diabetes to prevent diabetes complications and to improve their quality of life. The Purposes of this study were to investigate the current status of DSMB and to identify motivational factors related to DSMB in community dwelling older adults with diabetes. Methods: The subjects were 150 diabetic elderly who visited 2 community senior centers in S city. DSMB scale consisted of 5 sub-domains; Being active, healthy eating, regular medication, glucose monitoring, and foot care rated by a scale with a range of 0 to 7. Personal motivation(i.e., intention to behavior) and social motivation including family support and health professional support were measured. Results: The mean score of DSMB was 4.27. The mean score of intention to behavior was 2.52. DSMB was related to Intention to behavior (r=.461, p<.001), family support (r=.342, p<.001), and health professional support (r=.284, p<.001). In regression analysis, a total of 33.4% of variance in DSMB was accounted for by intention to behavior, family support, and health professional support. Conclusion: To improve DSMB of the elderly, diabetes educator should consider on the strategies across both personal and social motivation related to DSMB.

• 가정과삶의질연구
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• 제34권3호
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• pp.147-163
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• 2016

Multicultural Family Support Centers (MFSC) have provided five program areas including family, gender equality, human rights, social integration, and counseling since 2015. It is important to examine the MFSC staff's perceptions of the family programs and program needs for multicultural families to improve the effectiveness of these programs. In this study, we aim to explore the staff's perceptions of the family programs and to assess multicultural family program needs based on the family life cycle. A total of 130 MFSC staff were recruited through 128 MFSCs across Korea. Descriptive statistics were conducted for data analysis. Our findings revealed that MFSC staff have increasingly recognized that their target audiences are not only marriage immigrants and their families but also foreign workers' families and families from North Korea. In addition, the MFSC staff identified the importance of family programs instead of only programs for individual family members and multicultural families' different program needs based on their family life cycle. Contrary to the positive perception of the family programs, they described challenges of the family programs including a shortage of funds, difficulty recruiting family member combinations (e.g., couples, parent-child) for family programs, a lack of a program manual, and a heavy workload. This study provides insights into the family programs including their development and delivery.

• 가족자원경영과 정책
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• 제25권1호
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• pp.35-45
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• 2021

증가하는 1인가구에 주목하여 이 연구는 1인가구의 건강성을 측정하기 위한 척도 개발을 목표로 수행되었다. 선행연구를 통해 가족생태학적 관점과 건강가족적 관점을 적용하여 1인가구의 건강성 개념을 규정하였다. 건강성 척도 구성을 위해 1인가구의 기초적인 요구, 개인 영역, 가족 영역, 사회 영역 등을 포함하는 50 항목을 검토하였다. 지역, 연령, 성별 등을 고려하여 317명의 1인가구를 선정, 건강성 척도 항목을 검증하였고 요인분석을 통해 최종적으로 44항목을 추출하였다. 이러한 절차를 통해 선정된 건강성 척도는 기본적인 요구(가계경제, 주거, 소비, 미래설계), 일생활 균형(시간사용, 건강, 스트레스), 가족관계, 사회참여(네트웤, 사회적 관심, 지역사회참여) 등 4영역으로 구성된다. 본 연구에서 개발한 척도는 건강가정·다문화가족지원센터 프로그램을 이용하는 1인가구의 건강성을 측정하는 데 활용될 수 있을 것이다.

• 가족자원경영과 정책
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• 제9권4호
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• pp.113-132
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• 2005

The objective of this research is to improved self-esteem of matriarch, and it focused on the verification of its effect by implementing a group program. The followings are the results. First of all, the matriarchs who participated in the program experienced an increase in their self-esteem, compared to the level before the program. Secondly, as each session passed, the cohesion of the group members became stronger, and both interest ana participation in the program increased. Thirdly, in terms of the individual changes of the group members, they all deviated from the past condition of being overly cautious around each other, and started to display the formation of harmonious personal relationships, showing appreciation and encouragement towards each other.

• 한국생활과학회지
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• 제24권1호
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• pp.1-24
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• 2015

The objective of this study was to test the effects of participating self-growth program on ego-integrity and family relationship satisfaction of the elderly women. The subjects were 15 elderly women of low education. The levels of ego-integrity, including life attitudes, wisdom toward life, acceptance of life, and acceptance of death, and family relation satisfaction were measured before and after completing the program sessions. The program of eight sessions was conducted twice a week, for two hours. A significant difference in ego integrity, relation satisfaction with children, and relation satisfaction with grandchildren was found between pre- and post-test scores. The results show that elderly women can benefit from programs enhancing ego integrity and relation satisfaction with offspring. This study can be utilized in the Healthy Family Support Centers or the elderly welfare program for improvement of ego-integrity and parent-child relationship satisfaction of the elderly.

• 가정과삶의질연구
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• 제26권1호
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• pp.137-147
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• 2008

This study aimed to explore the plausible application of Coaching in the major of family resource management. For this purpose, first, this study reviewed the historical background of the coaching. In the contents, the concepts and principles of coaching were identified. Second, The recent application of coaching to the various areas such as finns, centers, occupation and the academical fields in Korea as well other countries were investigated. Finally, this study connected the nature and emphasis of the family resource management with the philosophy of coaching, which focuses on the internal strength of his/their own change and development in an/a individual/organization. Also, the process of family resource management and coaching models which were regarded as the similar ones in the phases consisted of situation perception, exploring alternatives, planning, implementing and feedback. On the basis of these contexts, this study suggested the plausible classes applied coaching which are able to be introduced in the under-graduated and graduated courses.

• 여성건강간호학회지
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• 제5권1호
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• pp.133-145
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• 1999

The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.

• 가족자원경영과 정책
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• 제27권2호
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• pp.19-33
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• 2023

본 연구는 「제4차 건강가정기본계획」의 '가족다양성 인정'이라는 주요 정책 목표 하에 운영되고 있는 가족다양성 관련 사업에 대한 가족센터 실무자의 운영 경험을 살펴보는 것을 목적으로 한다. 이를 위해 가족서비스 실무경험이 풍부한 시·군·구 가족센터의 센터장 혹은 중간관리자 12명을 대상으로 초점집단면접을 실시하였다. 초점집단면접 자료 분석은 중심주제분석(thematic analysis)을 사용하였다. 분석 결과를 통해 가족센터 실무자들은 가족 정책 환경 변화에 따라 가족다양성 개념을 이해하고 가족센터 운영에 여러 형태로 적용하고 있음을 발견하였다. 그러나 가족다양성 적용을 고려한 사업 운영 과정에서 다양한 가족 사업을 위한 자원 부족, 개별 가족서비스 목표와 가족다양성 관련 사업 목표 간의 갈등, 다양한 가족 대상자 발굴의 어려움 등을 경험하고 있었다. 향후 가족다양성 관련 서비스 확대를 위해 가족다양성에 대한 종사자 교육, 지역 특성을 반영한 가족 사업 운영, 다양한 가족 이해 및 인식개선 프로그램 확대와 다양한 가족이 함께 어우러질 수 있는 사업 주제 발굴 등과 같은 운영 방식의 변화, 가족센터 홍보 강화 및 대상자 확대, 가족다양성 사업 운영을 위한 예산 확대 필요성을 강조하였다. 본 연구 결과는 가족다양성 적용과 확장을 위한 가족서비스 개편 근거 및 가족서비스 실무자가 가족다양성 관점을 적용한 가족 사업과 서비스를 기획하고 실행할 수 있는 업무 역량 강화를 위한 교육 자료로 활용될 수 있을 것이다.

• 가정과삶의질연구
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• 제25권4호
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• pp.1-16
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• 2007

The purpose of this study is to examine adolescent future orientation in relation to education, work and career, and marriage and family. This study also explores the effects of adolescent future orientation in relation to their psychosocial characteristics: self-esteem, self-control, scholastic performance, and sexual permissiveness. Data were collected from 345 students in the second grade (male: 166, female: 179) of two middle schools in Seoul, Korea. Scale for adolescent future orientation was formulated based on literature review. The major findings of this study were as follows. Adolescents were found to be more future-oriented in the areas of work and career and in the area of marriage and family than in the area of education. Several hierarchical multiple regression analyses were also performed to examine the contribution of socio-demographic characteristics and future orientation to predictions of adolescent psychosocial characteristics. This study found that adolescent future orientation significantly predicted their self-esteem, self-control, and scholastic performance, while having no significant influence on sexual permissiveness.

• Human Ecology Research
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• 제57권1호
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• pp.109-125
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• 2019

Few studies have utilized observational methods in the field of couple research even though using self-report questionnaires is prone to the subjective biases of the reporter. This study validates the Marital Interaction Coding System-Global (MICS-G), a global version of the well-established microanalytic observational coding system, Marital Interaction Coding System (MICS). Participants in the study consisted of 30 married couples with varied levels of marital adjustment who visited one of the Healthy Family and Multicultural Family Support Centers in Seoul, either for couple therapy or the "Marriage Checkup"program. Ten-minute problem-solving discussions were rated by two undergraduate student raters who were trained for 10 hours. Interobserver agreement based on percentage agreement and intraclass correlation coefficients showed a high level of agreement between raters in establishing interrater reliability. Convergent validity was established by: correlations among marital adjustment, psychological aggression, mental health, and MICS-G categories of conflicts, validation, invalidation, facilitation, and withdrawal. MICS-G categories also were successful in discriminating between distressed and nondistressed couples, which provides evidence of discriminant validity for MICS-G. This study showed that MICS-G is a promising method for researchers to observe couple interactions in a more cost-effective way. Methodological issues and practical applications are also discussed.